Individual provider · Type 1 NPI
Stephanie Rose
Peer Specialist · Forest Grove, OR
NPI number
1104661479
Active
Practice location
2802 16th Ave
Forest Grove, OR 97116-3118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1104661479
Stephanie Rose's National Provider Identifier is 1104661479, issued on Jun 28, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Forest Grove, OR. The record was last updated on Jun 28, 2024.